<layout name="Layout/layout" />

<div id="wrapper">
    <div class="col-md-2">
        <include file="Layout:left-menubar" />
    </div>
    
    <div class="col-md-10">
    <!-- Page Content -->
    <div id="page-content-wrapper">
        <div class="container-fluid">
            <div class="row">
                <div class="col-lg-12">
                    <h1>我的志愿</h1>
                    <form class="form-horizontal">
                        <div class="panel panel-default">
                            <div class="panel-body">
                                <div class="form-group">
                                    <label for="inputEmail3" class="col-sm-2 control-label">高考文化分数</label>
                                    <div class="col-sm-10">
                                    <input type="email" class="form-control" id="inputEmail3" placeholder="请输入您的高考文化分数">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="inputEmail3" class="col-sm-2 control-label">志愿填报情况</label>
                                    <div class="col-sm-10">
                                        <label class="sr-only" for="exampleInputAmount">Amount (in dollars)</label>
                                        <div class="input-group">
                                        <div class="input-group-addon">第</div>
                                        <input type="text" class="form-control" id="exampleInputAmount" placeholder="1,2,3">
                                        <div class="input-group-addon">志愿填报西南大学</div>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="inputEmail3" class="col-sm-2 control-label">专业填报顺序</label>
                                    <div class="col-sm-10">
                                    <input type="email" class="form-control" id="inputEmail3" placeholder="第一志愿专业">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="inputEmail3" class="col-sm-2 control-label"> </label>
                                    <div class="col-sm-10">
                                    <input type="email" class="form-control" id="inputEmail3" placeholder="第二志愿专业">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="inputEmail3" class="col-sm-2 control-label"> </label>
                                    <div class="col-sm-10">
                                    <input type="email" class="form-control" id="inputEmail3" placeholder="第三志愿专业">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="inputEmail3" class="col-sm-2 control-label"> </label>
                                    <div class="col-sm-10">
                                    <input type="email" class="form-control" id="inputEmail3" placeholder="第四志愿专业">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="inputEmail3" class="col-sm-2 control-label"> </label>
                                    <div class="col-sm-10">
                                    <input type="email" class="form-control" id="inputEmail3" placeholder="第五志愿专业">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label for="inputEmail3" class="col-sm-2 control-label"> </label>
                                    <div class="col-sm-10">
                                    <input type="email" class="form-control" id="inputEmail3" placeholder="第六志愿专业">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <div class="col-sm-offset-2 col-sm-10">
                                    <button type="submit" class="btn btn-default">提交调查</button>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
    <!-- /#page-content-wrapper -->
    </div>
</div>
<!-- /#wrapper -->